Telehealth in Multiple Sclerosis Clinical Care and Research

Area of Science:

• Neurology
• Health Services Research
• Digital Health

Background:

• The COVID-19 pandemic accelerated the adoption and evaluation of telehealth.
• Telehealth offers a novel approach to healthcare delivery, particularly for chronic conditions like multiple sclerosis (MS).

Purpose of the Study:

• To review the impact of telehealth on multiple sclerosis (MS) care and research in both adult and pediatric populations.
• To evaluate the benefits and limitations of telehealth in the context of MS management.

Main Methods:

• This study is a review of existing literature and data on telehealth utilization in MS care.
• Analysis of reported outcomes, patient/provider satisfaction, and technological advancements in remote MS care and research.

Main Results:

• Telehealth visits for MS patients have demonstrated reductions in missed workdays and associated costs.
• High patient and provider satisfaction with telehealth services has been reported.
• Emergence of remote disability measures and technological tools for MS research and care.
• Tele-rehabilitation results for MS patients have been mixed, while telephone counseling may improve adherence to disease-modifying therapies.

Conclusions:

• Telehealth is a valuable tool likely to remain integral to multiple sclerosis (MS) care post-pandemic.
• Key challenges include limitations in conducting comprehensive neurological examinations and disparities in telehealth access among vulnerable populations.
• Future efforts should focus on evidence-based research for diagnostic accuracy in neuroimmunology and reducing access disparities.